Get Fillable Medication List

The Fillable Medication List is an essential tool for documenting medications, allergies, and vaccine history. This guide provides clear instructions to help you complete the form effectively and accurately.

Follow the steps to complete your Fillable Medication List online.

1. Press ‘Get Form’ button to access the Fillable Medication List and open it in your preferred online editor.
2. In the 'Patient or Family' section, list all medications currently being taken, including prescriptions, over-the-counter medications, supplements, eye drops, and herbal treatments.
3. Provide the name of the person completing the form by printing their name in the designated field.
4. Indicate the relationship of the person filling out the form to the patient.
5. If applicable, check 'No Medications' or specify if unable to obtain the patient's medication history, providing a brief reason.
6. In the 'Allergies' section, indicate any known drug or food allergies, reactions experienced, and check 'No Known Allergies' if applicable.
7. Document vaccine history by checking all vaccines received and include the dates, noting any specific vaccines such as pneumonia and influenza.
8. For each medication listed, provide the medication name, dosage, route of administration (e.g., oral), frequency, and last dose taken with date and time.
9. Attach any additional forms as necessary if updates to medication history are needed.
10. Have the form reviewed and signed where indicated, providing the name and signatures of relevant parties.
11. Finally, save your changes, download a copy of the completed form, print it, or share it as needed.

Begin filling out your Fillable Medication List online today!